Individual
BRIAN SCOTT KISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1717 N E ST, SUITE422, PENSACOLA, FL 32501-6339
(850) 469-0642
(850) 437-8318
Mailing address
1717 N E ST, SUITE422, PENSACOLA, FL 32501-6339
(850) 469-0642
(850) 437-8318
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109718
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019010700
—
FL
01
—
82TJY
BCBS
FL
Enumeration date
02/07/2013
Last updated
12/02/2016
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